Jeffrey Mark Decker in Grand Rapids - Internal Medicine
Jeffrey Mark Decker - NPI 1801001011
Jeffrey Mark Decker is a Internal Medicine in Grand Rapids, Michigan. Jeffrey Mark Decker practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jeffrey Mark Decker is 1801001011. The last update date is 2021-03-01.
Jeffrey Mark Decker's current location address is 2900 Bradford St Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6168855000 and fax number 6168855020. The mailing address for Jeffrey Mark Decker is 2900 Bradford St Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jeffrey Mark Decker |
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Address | 2900 Bradford St Ne, Grand Rapids, Michigan |
Phone Number | 6168855000 |
Fax Number | 6168855020 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1801001011 |
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Provider Enumeration Date | 2007-05-11 |
Last Updated Date | 2021-03-01 |
Provider Mailing Address Detail
Address | 2900 Bradford St Ne |
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City | Grand Rapids |
State | Michigan (MI) |
Post Code | 495256427 |
Phone Number | 6168855000 |
Fax Number | 6168855020 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | 4301083971 |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the Jeffrey Mark Decker's unique identification number?
The Jeffrey Mark Decker has been assigned the NPI (National Provider Identifier) Number 1801001011 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Jeffrey Mark Decker is located?
The Jeffrey Mark Decker is situated at the following address: 2900 Bradford St Ne, Grand Rapids, MI, 495256427.
What is Jeffrey Mark Decker's area of expertise and its corresponding taxonomy classification?
The Jeffrey Mark Decker's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1801001011 to Jeffrey Mark Decker?
The Centers for Medicare & Medicaid Services originally issued the 1801001011 to Jeffrey Mark Decker on 2007-05-11.
As of what date were the Jeffrey Mark Decker's details last updated?
The information pertaining to the Jeffrey Mark Decker, including its address, specialty, and other details, was most recently updated on 2021-03-01.